Medsource Essentials LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MEDSOURCE ESSENTIALS LLC

Doing business as

MedSource Essentials Group

Practice address

8820 Will Clayton Pkwy Ste G
Humble, TX 77338-5836

Phone

(832) 644-1250

NPI assigned

May 27, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Joe Mitchell, PHARMDNPI 1750607370

Title

Owner/Pic

Phone

(832) 392-7031

Specialties & licenses 3

Addresses

Other names 1

• MedSource Essentials Group Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joe Mitchell, PHARM.D.

  • Pharmacist
  • Humble, TX
  • NPI 1750607370
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627862400000",
    "number": "1023684495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18335 CAPE LOOKOUT WAY",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773464057",
            "telephone_number": "832-392-7031",
            "fax_number": "281-570-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8820 WILL CLAYTON PKWY STE G",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773385836",
            "telephone_number": "832-644-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSOURCE ESSENTIALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-27",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "832-392-7031",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedSource Essentials Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MedSource Essentials Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Miguel A Medina Ventura, RN
• Frank Medina
• Manuela Medina
• Maria M Medina
• Matthew Gabriel Medina
• Linda Kaye Meeds, LCSW
• Mehta Medical Group PLLC
• Navnit R Mehta, MD
• Nilay Mehta, DO
• Tejas Navnit Mehta, MD

• Community/Retail Pharmacy in Humble, TX
• Providers in Humble, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.